Organization
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
Active
Other names
River District Physician Practices, Henry Ford River District Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
31505 32 MILE ROAD, RICHMOND, MI 48062
(586) 727-5788
(586) 727-6031
Mailing address
2922 SOLUTION CENTER, CHICAGO, IL 60677-0001
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700G410560
BCBSM GROUP NUMBER
MI
Enumeration date
08/28/2006
Last updated
04/10/2026
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